Association of part-time clinical work with well-being and mental health in General Internal Medicine: A survey among Swiss hospitalists.
Autor: | Bretagne L; Department of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland., Mosimann S; Department of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.; School of Health Professions Education, Maastricht University, Maastricht, The Netherlands., Roten C; Department of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland., Perrig M; Department of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland., Genné D; Department of Internal Medicine, Hospital of Biel-Bienne, Bienne, Switzerland., Essig M; Department of General Internal Medicine, Tiefenau Hospital, Bern, Switzerland., Mancinetti M; Department of Medicine, University and Hospital of Fribourg, Fribourg, Switzerland., Méan M; Department of Internal Medicine, Centre Hospitalier Universitaire Vaudois (CHUV), University of Lausanne, Lausanne, Switzerland., Darbellay Farhoumand P; Department of Medicine, Geneva University Hospitals (HUG), Geneva, Switzerland., Huber LC; Department of General Internal Medicine, Stadtspital Zürich Triemli, Zürich, Switzerland., Weber E; Department of General Internal Medicine, Stadtspital Zürich Waid, Zürich, Switzerland., Knoblauch C; Department of General Internal Medicine, Hospital of Nidwalden, Stans, Switzerland., Schoenenberger AW; Department of General Internal Medicine, Cantonal Hospital of Münsterlingen, Münsterlingen, Switzerland., Frick S; Department of General Internal Medicine, Hospital of Limmattal, Schlieren, Switzerland., Wenemoser E; Department of General Internal Medicine, Hospital Region of Oberaargau, Langenthal, Switzerland., Ernst D; Department of General Internal Medicine, Hospital of Thun, Thun, Switzerland., Bodmer M; Department of General Internal Medicine, Cantonal Hospital of Zug, Baar, Switzerland., Aujesky D; Department of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland., Baumgartner C; Department of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland. |
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Jazyk: | angličtina |
Zdroj: | PloS one [PLoS One] 2023 Sep 28; Vol. 18 (9), pp. e0290407. Date of Electronic Publication: 2023 Sep 28 (Print Publication: 2023). |
DOI: | 10.1371/journal.pone.0290407 |
Abstrakt: | Introduction: Burnout and low job satisfaction are increasing among the General Internal Medicine (GIM) workforce. Whether part-time compared to full-time clinical employment is associated with better wellbeing, job satisfaction and health among hospitalists remains unclear. Materials and Methods: We conducted an anonymized cross-sectional survey among board-certified general internists (i.e. hospitalists) from GIM departments in 14 Swiss hospitals. Part-time clinical work was defined as employment of <100% as a clinician. The primary outcome was well-being, as measured by the extended Physician Well-Being Index (ePWBI), an ePWBI ≥3 indicating poor wellbeing. Secondary outcomes included depressive symptoms, mental and physical health, and job satisfaction. We compared outcomes in part-time and full time workers using propensity score-adjusted multivariate regression models. Results: Of 199 hospitalists invited, 137 (69%) responded to the survey, and 124 were eligible for analysis (57 full-time and 67 part-time clinicians). Full-time clinicians were more likely to have poor wellbeing compared to part-time clinicians (ePWBI ≥3 54% vs. 31%, p = 0.012). Part-time compared to full-time clinical work was associated with a lower risk of poor well-being in adjusted analyses (odds ratio 0.20, 95% confidence interval 0.07-0.59, p = 0.004). Compared to full-time clinicians, there were fewer depressive symptoms (3% vs. 18%, p = 0.006), and mental health was better (mean SF-8 Mental Component Summary score 47.2 vs. 43.2, p = 0.028) in part-time clinicians, without significant differences in physical health and job satisfaction. Conclusions: Full-time clinical hospitalists in GIM have a high risk of poor well-being. Part-time compared to full-time clinical work is associated with better well-being and mental health, and fewer depressive symptoms. Competing Interests: The authors have declared that no competing interests exist. (Copyright: © 2023 Bretagne et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.) |
Databáze: | MEDLINE |
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